Hc. Lukaski et Jg. Penland, FUNCTIONAL-CHANGES APPROPRIATE FOR DETERMINING MINERAL ELEMENT REQUIREMENTS, The Journal of nutrition, 126(9), 1996, pp. 2354-2364
One factor limiting efforts to determine human requirements for dietar
y intakes of mineral elements has been the unavailability of acceptabl
e standards for evaluating the effects of marginal and mild deficienci
es. Traditional approaches, such as growth, longevity, chemical balanc
e and measurement of concentrations of minerals in plasma or serum and
cellular components of the blood, have not been sensitive indicators
of mineral nutriture. One alternative that has been shown to be respon
sive to graded dietary mineral intake is the evaluation of functional
responses to specific challenges or stressors. Aberrant responses, eit
her exaggerated or attenuated, to controlled stressors have been obser
ved in a variety of physiological, psychological and immunological par
ameters when mineral intakes have been suboptimal by conventional stan
dards, compared with adequate responses. In comparison to static bioch
emical approaches for assessment of mineral nutritional status, functi
onal tests may be sensitive and responsive to alterations in mineral i
ntake in adult humans. Dynamic functional measures complement static b
iochemical measures and reflect the net effect of deficiencies on inte
grated biological systems. The application of some of these types of d
ynamic evaluations of function may be a useful and productive approach
for proposing mineral element intakes to optimize human health and bi
ological function and performance.